New Changes to Medicare Medical Education RulesThomas W. Coons
The pilot projects and public comments resulted in changes to the proposed TCET pathway. CMS has clarified eligibility, created a mechanism to predict TCET demand through letters of intent, established an equitable and operational quarterly review process, and developed a real-time platform ...
New Changes Proposed for the Medicare Advantage and Prescription Drug Benefit Programs (CMS-4159-P)books, contracts, and records of the organi-zation that pertain to the ability to bear therisk of potential financial losses. 14. Allowing CMS to request and collectinformation directly from ...
MIPPA also changes the definition ofa Part D drug by expanding the compendiaused to determine whether a drug isa Part D drug, now basically followingthe process used for Medicare Part B.Additionally, MIPPA revises the definitionof a "medically acceptable indication"for which an off-label use ...
The prior authorization changes, announced this week, are part of the Centers for Medicare & Medicaid Services' (CMS')2024 update of policy changesfor Medicare Advantage and Part D pharmacy plans Medicare Advantage plans' business practices have raised significant concerns in recent years. More than...
The Inflation Reduction Act (IRA), signed into law in August 2022, enacted substantial changes to the Medicare program, including the establishment of a Medicare Inflation Rebate (the Inflation Rebate), which requires drug manufacturers to pay Inflation Rebates t...
The U.S.Social Security Administration (SSA)announces its annual changes to theSocial Securityprogram for the following year every October. The2025 changesconsist of a 2.5% cost-of-living adjustment (COLA) to the monthly benefit amount, an increase in the maximum earnings subject to the Social ...
5. Make “incremental refinements” to the major Shared Savings ACO program reforms finalized last year. In its 2023 final physician fee schedule rule released November 2022, CMS finalized a series of significant changes to Medicare’s largest ACO program, the Shared Savings Program (MSSP).Some ...
CODING CONSULTANT80 I CUTIS ® WWW.MDEDGE.COM/DERMATOLOGYThe Centers for Medicare & Medicaid Services (CMS) 2022 final rule, which went into effect on January 1, 2022, contains updates affecting the practice of dermatology. This article reviews many of the changes to the Medicare Physician...
MEDICARE PAYMENT REFORM: ACCELERATING THE TRANSFORMATION OF THE U.S. HEALTHCARE DELIVERY SYSTEM AND NEED FOR NEW STRATEGIC PROVIDER ALLIANCES. (cover story) The article discusses the U.S. Medicare payment reform and fundamental changes in context with U.S. healthcare sector. Several existing statut...